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1720049471
BRADY EVAN CLEVENGER
JOPLIN, MO
NPI
1720049471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2005036369)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
Mr. BRADY EVAN CLEVENGER MS PLPC
2914 E 32ND ST SUITE 308
JOPLIN, MO 64804-4402
Phone number: 417-624-8333
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Mailing Address
Mr. BRADY EVAN CLEVENGER MS PLPC
PO BOX 8225
JOPLIN, MO 64802-8225
Phone number: 417-624-4960
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